Cargando…
Burden of autism spectrum disorders in North Africa and Middle East from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019
INTRODUCTION: Autism spectrum disorders (ASD) encompass a range of neurodevelopmental disorders that affect the patient's communication and behavior. There are some reports about the increasing prevalence of ASD in recent decades, mostly due to the improvement in diagnosis and screening status....
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338812/ https://www.ncbi.nlm.nih.gov/pubmed/37350023 http://dx.doi.org/10.1002/brb3.3067 |
_version_ | 1785071708306145280 |
---|---|
author | Ebrahimi Meimand, Sepideh Amiri, Zahra Shobeiri, Parnian Malekpour, Mohammad‐Reza Saeedi Moghaddam, Sahar Ghanbari, Ali Tehrani, Yeganeh Sharifnejad Shokri Varniab, Zahra Pourabhari Langroudi, Ashkan Sohrabi, Hanye Foroutan Mehr, Elmira Rezaei, Negar Moradi‐Lakeh, Maziar H. Mokdad, Ali Larijani, Bagher |
author_facet | Ebrahimi Meimand, Sepideh Amiri, Zahra Shobeiri, Parnian Malekpour, Mohammad‐Reza Saeedi Moghaddam, Sahar Ghanbari, Ali Tehrani, Yeganeh Sharifnejad Shokri Varniab, Zahra Pourabhari Langroudi, Ashkan Sohrabi, Hanye Foroutan Mehr, Elmira Rezaei, Negar Moradi‐Lakeh, Maziar H. Mokdad, Ali Larijani, Bagher |
author_sort | Ebrahimi Meimand, Sepideh |
collection | PubMed |
description | INTRODUCTION: Autism spectrum disorders (ASD) encompass a range of neurodevelopmental disorders that affect the patient's communication and behavior. There are some reports about the increasing prevalence of ASD in recent decades, mostly due to the improvement in diagnosis and screening status. Few studies suggested a lower prevalence of ASD in North Africa and Middle East compared to more developed regions. The aim of this study is to provide a comprehensive outlook of ASD in the region. METHODS: We used Global Burden of Disease (GBD) data from 1990 to 2019 in North Africa and Middle East, which is one of the seven super regions of the GBD categorization. In this study, we reported the epidemiologic indices, including prevalence, incidence, and years lived with disability (YLDs) for ASD in the 21 countries of the super region. We also compared these indices between the countries based on their sociodemographic index (SDI) which was calculated according to income per capita, mean education, and fertility rate. RESULTS: Age‐standardized prevalence rate (ASPR) of ASD in the region is 304.4 (95% uncertainty interval 251.2–366.1) per 100,000 in 2019 with less than one percentage change since 1990. Age‐standardized YLDs and incidence rates were 46.4 (30.4–67.5) and 7.7 (6.3–9.3) per 100,000 in 2019. The ASPR was 2.9 times greater in males compared to females in 2019. The highest age‐standardized prevalence, incidence, and YLD rates among the countries were seen in Iran in 2019 (370.3, 9.3, and 56.4 per 100,000, respectively). High SDI countries had higher age‐standardized YLDs rates compared to the other countries of the region. CONCLUSION: In conclusion, the trends of age‐standardized epidemiologic indices remained approximately steady through the years 1990–2019 in the region. Though, there was a wide discrepancy between the countries of the region. The difference of YLDs among the countries of this region is related to the SDI of the countries. Monetary and public awareness status are the SDI factors that may affect the quality of life of ASD patients in the region. This study provides valuable information for governments and health systems to implement policies for maintaining the improving trend, achieving more timely diagnosis, and bettering the supportive actions in this region. |
format | Online Article Text |
id | pubmed-10338812 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103388122023-07-14 Burden of autism spectrum disorders in North Africa and Middle East from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019 Ebrahimi Meimand, Sepideh Amiri, Zahra Shobeiri, Parnian Malekpour, Mohammad‐Reza Saeedi Moghaddam, Sahar Ghanbari, Ali Tehrani, Yeganeh Sharifnejad Shokri Varniab, Zahra Pourabhari Langroudi, Ashkan Sohrabi, Hanye Foroutan Mehr, Elmira Rezaei, Negar Moradi‐Lakeh, Maziar H. Mokdad, Ali Larijani, Bagher Brain Behav Original Articles INTRODUCTION: Autism spectrum disorders (ASD) encompass a range of neurodevelopmental disorders that affect the patient's communication and behavior. There are some reports about the increasing prevalence of ASD in recent decades, mostly due to the improvement in diagnosis and screening status. Few studies suggested a lower prevalence of ASD in North Africa and Middle East compared to more developed regions. The aim of this study is to provide a comprehensive outlook of ASD in the region. METHODS: We used Global Burden of Disease (GBD) data from 1990 to 2019 in North Africa and Middle East, which is one of the seven super regions of the GBD categorization. In this study, we reported the epidemiologic indices, including prevalence, incidence, and years lived with disability (YLDs) for ASD in the 21 countries of the super region. We also compared these indices between the countries based on their sociodemographic index (SDI) which was calculated according to income per capita, mean education, and fertility rate. RESULTS: Age‐standardized prevalence rate (ASPR) of ASD in the region is 304.4 (95% uncertainty interval 251.2–366.1) per 100,000 in 2019 with less than one percentage change since 1990. Age‐standardized YLDs and incidence rates were 46.4 (30.4–67.5) and 7.7 (6.3–9.3) per 100,000 in 2019. The ASPR was 2.9 times greater in males compared to females in 2019. The highest age‐standardized prevalence, incidence, and YLD rates among the countries were seen in Iran in 2019 (370.3, 9.3, and 56.4 per 100,000, respectively). High SDI countries had higher age‐standardized YLDs rates compared to the other countries of the region. CONCLUSION: In conclusion, the trends of age‐standardized epidemiologic indices remained approximately steady through the years 1990–2019 in the region. Though, there was a wide discrepancy between the countries of the region. The difference of YLDs among the countries of this region is related to the SDI of the countries. Monetary and public awareness status are the SDI factors that may affect the quality of life of ASD patients in the region. This study provides valuable information for governments and health systems to implement policies for maintaining the improving trend, achieving more timely diagnosis, and bettering the supportive actions in this region. John Wiley and Sons Inc. 2023-06-22 /pmc/articles/PMC10338812/ /pubmed/37350023 http://dx.doi.org/10.1002/brb3.3067 Text en © 2023 The Authors. Brain and Behavior published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Ebrahimi Meimand, Sepideh Amiri, Zahra Shobeiri, Parnian Malekpour, Mohammad‐Reza Saeedi Moghaddam, Sahar Ghanbari, Ali Tehrani, Yeganeh Sharifnejad Shokri Varniab, Zahra Pourabhari Langroudi, Ashkan Sohrabi, Hanye Foroutan Mehr, Elmira Rezaei, Negar Moradi‐Lakeh, Maziar H. Mokdad, Ali Larijani, Bagher Burden of autism spectrum disorders in North Africa and Middle East from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019 |
title | Burden of autism spectrum disorders in North Africa and Middle East from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019 |
title_full | Burden of autism spectrum disorders in North Africa and Middle East from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019 |
title_fullStr | Burden of autism spectrum disorders in North Africa and Middle East from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019 |
title_full_unstemmed | Burden of autism spectrum disorders in North Africa and Middle East from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019 |
title_short | Burden of autism spectrum disorders in North Africa and Middle East from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019 |
title_sort | burden of autism spectrum disorders in north africa and middle east from 1990 to 2019: a systematic analysis for the global burden of disease study 2019 |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338812/ https://www.ncbi.nlm.nih.gov/pubmed/37350023 http://dx.doi.org/10.1002/brb3.3067 |
work_keys_str_mv | AT ebrahimimeimandsepideh burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT amirizahra burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT shobeiriparnian burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT malekpourmohammadreza burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT saeedimoghaddamsahar burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT ghanbariali burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT tehraniyeganehsharifnejad burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT shokrivarniabzahra burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT pourabharilangroudiashkan burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT sohrabihanye burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT foroutanmehrelmira burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT rezaeinegar burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT moradilakehmaziar burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT hmokdadali burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 AT larijanibagher burdenofautismspectrumdisordersinnorthafricaandmiddleeastfrom1990to2019asystematicanalysisfortheglobalburdenofdiseasestudy2019 |